Page 513 - Inventory Report

Revisions $1.51 - revised unit cost Unit Cost Approved $1.19 - revised unit cost
AA

Z $ 1,021,287.64

Extended

Y $ 10.57 $ 9.84 $ 9.69 $ 9.26 $ 8.88 $ 8.78 $ 8.03 $ 7.38 $ 7.37 $ 7.19 $ 6.94 $ 5.95 $ 5.15 $ 5.13 $ 4.92 $ 4.81 $ 4.13 $ 4.11 $ 3.86 $ 3.83 $ 3.83

Unit
X Cost $ 1.51 $ 2.46 $ 9.69 $ 0.77 $ 2.96 $ 0.98 $ 4.02 $ 2.46 $ 1.47 $ 7.19 $ 0.77 $ 1.19 $ 1.72 $ 1.03 $ 2.46 $ 4.81 $ 0.41 $ 1.03 $ 0.77 $ 1.91 $ 1.91

Package Cost

W $ 96.64 $ 24.59 $ 242.35 $ 19.28 $ 29.59 $ 24.38 $ 40.17 $ 61.48 $ 123.77 $ 86.34 $ 7.71 $ 28.56 $ 42.94 $ 24.64 $ 61.48 $ 4.81 $ 10.33 $ 24.64 $ 7.71 $ 47.84 $ 47.84

V SOURCE MIS NADAC/UPD ATED 7300006405 7300005248 7300006334 7300000577 7300005782 7300006508 7300006405 MIS NADAC 6770006170 7300006334 MIS NADAC/UPD ATED 7300008718 7300006228 7300006405 7300010119 7300000445 7300006228 7300006334 7300008867 7300008867

40200000-CALORIC AGENTS 72000000-LOCAL ANESTHETICS (PARENTERAL) 40080000- 24240000-BETA- ADRENERGIC BLOCKING AGENTS 12202000- NEUROMUSCULAR BLOCKING AGENTS 08120604- CEPHALOSPORINS, 12202000- NEUROMUSCULAR 24040408- ANTIARRHYTHMIC AGENTS, CLASS Ib 40120000- REPLACEMENT AGONISTS 24240000-BETA- ADRENERGIC 40120000- REPLACEMENT PREPARATIONS 40280800-LOOP DIURETICS 68040000-ADRENALS 72000000-LOCAL ANESTHETICS (PARENTERAL) 52320000- 56222000-5-HT3 RECEPTOR ANTAGONISTS 68040000-ADRENALS 24240000-BETA- ADRENERGIC BLOCKING AGENTS 12120400-ALPHA- ADRENERGIC AGONISTS 12120400-ALPHA- ADRENERGIC AGONISTS

U AHFS ALKALINIZING AGENTS 12120808-SELECTIVE BETA-1-ADRENERGIC VASOCONSTRICTORS

DEA
T CLAS S

S GENER IC CODE 6641 26885 2792 12241 37201 39903 19670 97420 2962 15353 12241 2962 34940 47203 26885 34062 97502 47203 12241 20310 20310

MANUFACTURER AuroMedics Pharma

R B. Braun Medical Inc. LLC Fresenius Kabi, USA LLC West-Ward Pharmaceuticals Corp. X-GEN Pharmaceuticals, Inc. WG Critical Care, LLC Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC B. Braun Medical Inc. Hospira, Inc. Hospira, Inc. B. Braun Medical Inc. Fresenius Kabi USA, LLC Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. Major Pharmaceuticals, Inc Mylan Institutional Inc. Fresenius Kabi USA, LLC West-Ward Pharmaceuticals Corp. Fresenius Kabi USA, LLC Amneal Pharmaceuticals LLC

DOSE FORM S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION, S INJECTION,

Q INTRAVENOU SOLUTION EPIDURAL; INFILTRATIO N; INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU S SOLUTION INTRAMUSCU LAR/INTRAVE INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU INTRAVENOU SOLUTION INTRAMUSCU LAR/INTRAVE INTRAMUSCU LAR; INTRAVENOU EPIDURAL; INFILTRATIO N; NASAL SPRAY INTRAMUSCU LAR; INTRAVENOU S SOLUTION INTRAMUSCU LAR; INTRAVENOU INTRAVENOU SOLUTION INTRAVENOU S INJECTION INTRAVENOU S INJECTION

SIZE
P TXT

UOI
O SIZE

PACK AGE 100 5 50 5 5 1 1 5 50 250 5 250 2 1 5 30 2 1 5 1 1
N SIZE

M STRENG TH 50mg/mL 20mg/mL 84mg/mL 5mg/5mL 10mg/mL 1g/1 1mg/mL 20mg/mL 9mg/mL 1.6mg/mL 1mg/mL 0.9g/100 mL 10mg/mL 10mg/mL 20mg/mL 0.05g/100 mL 2mg/mL 10mg/mL 5mg/5mL 10mg/mL 10mg/mL

L GENERIC DEXTROSE MONOHYD RATE LIDOCAINE HYDROCHL ORIDE SODIUM BICARBONA METOPROL OL TARTRATE ROCURONI UM BROMIDE CEFAZOLIN SODIUM VECURONI UM LIDOCAINE HYDROCHL ORIDE SODIUM CHLORIDE DOPAMINE HYDROCHL ORIDE METOPROL OL SODIUM CHLORIDE FUROSEMI DE DEXAMETH ASONE SODIUM LIDOCAINE HYDROCHL ORIDE OXYMETAZ OLINE HYDROCHL ORIDE ONDANSET RON HYDROCHL ORIDE DEXAMETH ASONE SODIUM METOPROL OL TARTRATE PHENYLEP HRINE HYDROCHL ORIDE PHENYLEP HRINE HYDROCHL ORIDE

K TRADE DEXTROSE LIDOCAINE HYDROCHL ORIDE SODIUM BICARBONA METOPROL OL TARTRATE ROCURONI UM BROMIDE CEFAZOLIN SODIUM VECURONIU M BROMIDE LIDOCAINE HYDROCHL ORIDE SODIUM CHLORIDE DOPAMINE HYDROCHL ORIDE IN DEXTROSE METOPROL OL SODIUM CHLORIDE FUROSEMI DE DEXAMETH ASONE SODIUM LIDOCAINE HYDROCHL ORIDE NASAL DECONGES TANT ONDANSET RON HYDROCHL ORIDE DEXAMETH ASONE SODIUM METOPROL OL TARTRATE PHENYLEP HRINE HYDROCHL ORIDE PHENYLEP HRINE HYDROCHL ORIDE

J MERIDIAN DESC DEXTROSE 5%/WATER 0.05 IVSL 100 64 LIDOCAINE HCL 0.02 SDPF package size 5 divisor 10 SODIUM BICARBONATE METOPROLOL TARTRATE 1mg/Ml SDV package size 5 ROCURONIUM MDV package size 5 CEFAZOLIN SODIUM 1gm PWVL package VECURONIUM BROMIDE 10mg PWVL LIDOCAINE HCL 0.02 SDPF package size 5 divisor 25 SODIUM CHLORIDE 0.9% 0.009 IVSL 50 84 DOPAMINE HCL/D5W 400mg/250ml IVSL package size 250 divisor 12 METOPROLOL TARTRATE 1mg/Ml SODIUM CHLORIDE 0.9% 0.009 IVSL 250 24 FUROSEMIDE 10mg/Ml SDPF package size 2 DEXAMETHASONE SODIUM PHOSP/PF INJECTION 10 mg PFS LIDOCAINE HCL 0.02 SDPF package size 5 d

Med Desc Dextrose 5 % Sodium Bicarbonate METOPROLOL 5 MG/5ML 100 MG/10ML Lidocaine HCl (Cardiac) PF 100 MG/5ML Sodium Chloride 0.9 DOPamine in D5W MG/ML-% MG/5ML Sodium Chloride 0.9 Furosemide 10 MG/ML Dexamethasone 10 MG/ML 12 Hour Nasal Ondansetron HCl 4 MG/2ML Dexamethasone Sodium Phosphate Inj 10 MG/ML MG/5ML Phenylephrine HCl 10 MG/ML Phenylephrine HCl 10 MG/ML

I Lidocaine HCl (PF) 2 Rocuronium Bromide BROMIDE 10mg/Ml CeFAZolin Sodium 1 Vecuronium Bromide Metoprolol Tartrate 5 Lidocaine HCl (PF) 2 Decongestant 0.05 % Metoprolol Tartrate 5

Alert
H % 8.4 % GM 10 MG % % %

1 10429 10430 10431 10432 10433 10434 10435 10436 10437 10438 10439 10440 10441 10442 10443 10444 10445 10446 10447 10448 10449